Illinois Nursing Homes >> Gibson City Nursing Homes >> Heritage Health-gibson City

Heritage Health-gibson City - Gibson City Nursing Home

General Information

UPDATE
Federal Provider Number
145911
Provider Name
HERITAGE HEALTH-GIBSON CITY
Provider Address
620 EAST FIRST STREET
GIBSON CITY, IL 60936
Provider Phone Number
(217) 784-4257
Provider SSA County
350
Provider County Name
Ford
Provider Website
Provider Description
Ownership Type
For profit - Corporation
Number of Certified Beds
75
Number of Residents in Certified Beds
54
Provider Type
Medicare and Medicaid
Provider Resides in Hospital
N
Legal Business Name
HERITAGE MANOR - GIBSON CITY LLC
Date First Approved to Provide Medicare and Medicaid services
1996-12-01
Continuing Care Retirement Community
N
Special Focus Facility
N
Provider Changed Ownership in Last 12 Months
N
With a Resident and Family Council
Resident
Automatic Sprinkler Systems in All Required Areas
Yes

Rating Detail Information

Overall Rating
3
Overall Rating Footnote
Health Inspection Rating
3
Health Inspection Rating Footnote
QM Rating
3
QM Rating Footnote
Staffing Rating
2
Staffing Rating Footnote
RN Staffing Rating
4
RN Staffing Rating Footnote
Reported Staffing Footnote
Physical Therapist Staffing Footnote
Reported CNA Staffing Hours per Resident per Day
1.75370
Reported LPN Staffing Hours per Resident per Day
0.38519
Reported RN Staffing Hours per Resident per Day
0.71667
Reported Licensed Staffing Hours per Resident per Day
1.10185
Reported Total Nurse Staffing Hours per Resident per Day
2.85556
Reported Physical Therapist Staffing Hours per Resident Per Day
0.11667
Expected CNA Staffing Hours per Resident per Day
2.17899
Expected LPN Staffing Hours per Resident per Day
0.56241
Expected RN Staffing Hours per Resident per Day
0.87247
Expected Total Nurse Staffing Hours per Resident per Day
3.61388
Adjusted CNA Staffing Hours per Resident per Day
1.97479
Adjusted LPN Staffing Hours per Resident per Day
0.56846
Adjusted RN Staffing Hours per Resident per Day
0.61377
Adjusted Total Nurse Staffing Hours per Resident per Day
3.18508
Cycle 1 Total Number of Health Deficiencies
6
Cycle 1 Number of Standard Health Deficiencies
4
Cycle 1 Number of Complaint Health Deficiencies
2
Cycle 1 Health Deficiency Score
52
Cycle 1 Standard Survey Health Date
2015-01-29
Cycle 1 Number of Health Revisits
1
Cycle 1 Health Revisit Score
0
Cycle 1 Total Health Score
52
Cycle 2 Total Number of Health Deficiencies
0
Cycle 2 Number of Standard Health Deficiencies
0
Cycle 2 Number of Complaint Health Deficiencies
0
Cycle 2 Health Deficiency Score
0
Cycle 2 Standard Health Survey Date
2013-12-19
Cycle 2 Number of Health Revisits
0
Cycle 2 Health Revisit Score
0
Cycle 2 Total Health Score
0
Cycle 3 Total Number of Health Deficiencies
2
Cycle 3 Number of Standard Health Deficiencies
2
Cycle 3 Number of Complaint Health Deficiencies
0
Cycle 3 Health Deficiency Score
24
Cycle 3 Standard Health Survey Date
2013-02-15
Cycle 3 Number of Health Revisits
1
Cycle 3 Health Revisit Score
0
Cycle 3 Total Health Score
24
Total Weighted Health Survey Score
30.00000
Number of Facility Reported Incidents
0
Number of Substantiated Complaints
0
Number of Fines
1
Total Amount of Fines in Dollars
2340
Number of Payment Denials
0
Total Number of Penalties
1
Location
Processing Date
2015-06-01
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